Healthcare Provider Details

I. General information

NPI: 1932106382
Provider Name (Legal Business Name): MUKESH AMIN MD & TEJINDER SINGH MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 W FOOTHILL BLVD STE B
UPLAND CA
91786-3785
US

IV. Provider business mailing address

914 W FOOTHILL BLVD STE B
UPLAND CA
91786-3785
US

V. Phone/Fax

Practice location:
  • Phone: 909-985-2872
  • Fax: 909-985-0932
Mailing address:
  • Phone: 909-985-2872
  • Fax: 909-985-0932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: MUKESH S AMIN
Title or Position: OWNER
Credential: M.D.
Phone: 909-985-2872